Individual
MRS. KAYLA LANDEFELD TENNYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22266 HIGHWAY 25, COLUMBIANA, AL 35051-8618
(205) 669-3138
Mailing address
1898 HIGHWAY 7, WILSONVILLE, AL 35186-6710
(205) 382-7085
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-153341
AL
363LF0000X
Family Nurse Practitioner
Primary
1-153341
AL
Other
Enumeration date
01/18/2022
Last updated
04/23/2024
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